Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00042 | Date 02/08/2018 |
| Token No | SM/18-19/4213 27/11/2018 | Serial | 005 Last Visit: 28/11/2025 |
| Patient Name | Mrs. TRIPTI BANERJEE | Contact No | 8981843522 |
| Address | 11, CHATRA CHOWDHURY PARA BYE LANE | Age | 72 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||